Ak Diagnostic Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AK DIAGNOSTIC LABORATORY

Practice address

35540 W Michigan Ave
Wayne, MI 48184-1626

Phone

(248) 827-5647

NPI assigned

Sep 20, 2021

Last updated

Nov 18, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Anwar Baker

Title

President

Phone

(248) 827-5647

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1427728419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35540 W MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841626",
            "telephone_number": "248-827-5647",
            "fax_number": "248-987-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35540 W MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841626",
            "telephone_number": "248-827-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AK DIAGNOSTIC LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-827-5647",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Wayne, MI
• Providers in Wayne, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.